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Mayar Mohamed Mousa was her name. She was 17 years old. Just like her twin sister, who went under the knife right before her. She survived. But Mayar didn’t. Last Sunday, Mayar Mohamed Mousa died from complications in a private hospital in the Egyptian city of Suez when a female doctor surgically removed her clitoris. Mayar’s mother is a nurse.

Just let that sink in a for a moment.

A female doctor and a female nurse agreed to perform female genital mutilation (FGM) on two perfectly healthy teenage girls. Were even willing to risk the closure of the hospital, jailtime and not to mention the girls’ lives. And all that to remove their external sexual organs. How messed up is that?

And what’s even worse: Mayar and her twin sister are far from an exception. Even though the procedure was officially banned in Egypt in 2008, a staggering 94% of married women have been exposed to FGM and 69% of those women agreed to the same procedure being carried out on their daughters, according to a survey by the Egyptian Health Ministery in 2003.

Why?? Not for religious reasons. Not for hygiene. But simply because people believe this is how it should be. ‘It helps keep girls calm’, I once heard someone say. ‘It’s our culture’, according to others.

Fact of the matter is that today, according to UNICEF, at least 200 million girls and women living in 30 countries have undergone FGM. Of all those girls and women, the highest number are from Egypt: a staggering 27.2 million.

So why do people not talk about this more? Mona Eltahawy, author ofHeadscarves and Hymens: Why the Middle East Needs a Sexual Revolution, offers a very simple yet painful explanation: ‘Something that hurts so many girls and women is kept silent and taboo because it has to do with our vaginas and with sex. The biggest obstacle in the global fight against FGM is the reluctance to talk about the practice.’